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Active NPI 1699057679 Individual Practitioner Female Practitioner

Mary Kathleen Broderick , MS ED

Speech-Language Pathologist • Rensselaer, NY

Professional Overview & Biography Verified Profile Summary

Mary Broderick, MS ED is a registered healthcare professional specializing in Speech-Language Pathologist in Rensselaer, NY. Practice services are available at 25 VAN RENSSELAER DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

25 Van Rensselaer Dr

Rensselaer, NY 121441491

Telephone 5184364618

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Rensselaer, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
3 Specialists

Practicing in Rensselaer, NY (25106 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License NY 008816

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Taylor Johnston , MS, CF-SLP

Speech-Language Pathologist

NPI 1689103459

Master of Science, Clinical Fellow in Speech-Language Pathology

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 15, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location September 15, 2011

Registered at 25 VAN RENSSELAER DR, RENSSELAER, NY 121441491 (Tel: 5184364618)

📍
Updated Business Mailing Address September 15, 2011

Registered at 26 SUNBURN LN, CLARKSVILLE, NY 120411209 (Tel: 5187688048)

👤
Provider Name / Credentials Updated September 15, 2011

Recorded as MARY BRODERICK, MS ED

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 15, 2011

Speech-Language Pathologist (License #008816 in NY)

🟢
Initial NPI Registration & Enumeration September 15, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1699057679
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 15, 2011
Last Update: September 15, 2011
Sole Proprietor: No

Mailing Address

26 Sunburn Ln

Clarksville, NY 120411209

Phone: 5187688048

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.